Ngaba nawe kuya kufuneka wenze utyando lwesisu ngenxa yesifo sikaCrohn? Masifumane iinkcukacha!

Ukuba unesifo sikaCrohn, mhlawumbi uyazi ukuba iimpawu zakho zinokulawulwa kakhulu ngamayeza kunye notshintsho oluthile kwindlela otya ngayo. Nangona kunjalo, malunga ne-80% yabantu abanesifo ekugqibeleni baya kufuna utyando. Ngoko ke, uhlobo lotyando olufunekayo luya kuxhomekeka kwiimpawu zakho.

Kunini apho kufuneka khona utyando kwisifo sikaCrohn?

Ugqirha wakho unokucebisa utyando lwesifo sikaCrohn ukuba ufumana iingxaki okanye ukuba unyango olungelulo utyando alusebenzi kakuhle.

Izizathu eziphambili zotyando lwesifo sikaCrohn zezi:

• Ukuqina kwamathumbu: Oku kukuncitshiswa kwamathumbu akho. Esi sesona sizathu siphambili sokuba abantu abaninzi abanesifo sikaCrohn benze utyando.
• Iifistula kunye namathumba esiswini: Iifistula ziindawo ezingaqhelekanga phakathi kwamalungu amabini omzimba. Amathumba ziingqokelela zobofu obenzeka ngaphakathi esiswini.
• Isifo esiphinda sibuye: Oku kuthetha ukuba iimpawu ziyabuya emva konyango lwangaphambili.

Kukho ezinye izizathu ezingaqhelekanga, kodwa zinokufuna utyando:

• Ukopha kwamathumbu (GI).
• Ukugqobhoka kwamathumbu.
• I-Peritonitis: Oku kukudumba kwe-membrane ejikeleze ngaphakathi kwesisu sakho.
• Izilonda ezinomhlaza okanye ezingaphambi komhlaza. Kuba isifo sikaCrohn singumngcipheko wokuba nomhlaza we-colorectal.
• I-megacolon enetyhefu: Kulapho isakhiwo sekholoni yakho siwohloka khona ngenxa yokuvuvukala.

Isifo sikaCrohn sinokuba yintlungu yokwenyani. Ngamanye amaxesha iimpawu ziyavela zize ziphele ngaphandle kwesizathu esicacileyo. Ukungaqiniseki kunokuba nzima ngamanye amaxesha. Nangona kunjalo, nangona utyando lungenakunyanga ngokupheleleyo isifo sikaCrohn, lunokunceda ekunciphiseni iimpawu zakho ezingathandekiyo kwaye lukuvumele ukuba uqhubeke nokwenza izinto ozithandayo.

Ziziphi iintlobo zotyando ezenziwayo kwisifo sikaCrohn?

Kukho iintlobo ezininzi eziphambili zotyando lwesifo sikaCrohn. Makhe sijonge ukuba zeziphi.

Ukuqubha kwethumba

Oku kwenziwa ukuze kususwe ubovu obebuvele ngenxa yosulelo olungaphakathi esiswini.

Ukususwa kwamathumbu

Olu tyando lubandakanya ukususa inxalenye yamathumbu amancinci okanye ikholoni. Ungacelwa ukuba wenze olu tyando ukuba unamanxeba amaninzi emathunjini akho, okanye ukuba ugqirha wakho ubona iiseli ezinomhlaza okanye ezingaphambi komhlaza.

Ukususwa/ukulungiswa kweFistula

I-fistula ngumngxuma ongaqhelekanga phakathi kwamalungu amabini omzimba. Oku kunokubangela iingxaki. Ngoko ke, olu tyando lubandakanya ukususa okanye ukulungisa umngxuma.

Utyando lwe-Ostomy

Olu tyando ludala umngxuma (stoma) esiswini sakho. Oku kuthetha ukuba endaweni yokuba indle yakho iphume nge-anus, kudalwe indlela entsha yokuba iphume nge-stoma. Olona tyando luqhelekileyo lwe-ostomy yi-colostomy kunye ne-ileostomy.

I-Proctocolectomy

Olu tyando lwesifo sikaCrohn lususa inxalenye okanye yonke ikholoni yakho kunye ne-rectum.

I-Strictureplasty

Olu tyando lwenziwa ukuze kwandiswe iindawo ezinciphileyo nezixineneyo ngenxa yamanxeba, nto leyo evumela ukuba indle idlule lula.

Kuthatha ixesha elingakanani utyando lukaCrohn?

Kuxhomekeke kakhulu kuhlobo lotyando olwenzileyo, ubukhali bemeko yakho, kunye neendawo ezithile zenkqubo yakho yokugaya ezichaphazelekileyo. Ugqirha wakho uza kukuxelela into omawuyilindele ngokwemeko yakho.

Zithini iingenelo zotyando kwisifo sikaCrohn?

Kwiimeko ezininzi, utyando lwesifo sikaCrohn lunokwenziwa nge-laparoscopically okanye nge-robotically. Oku kuthetha ukuba unezimbobo ezimbalwa, uthungo luncinci, kwaye iintlungu zincinci emva kotyando.

Ukongeza, utyando lwesifo sikaCrohn lunokubangela:

• Ukunciphisa iintlungu zesisu.
• Ukuncipha kweempawu. (Iimpawu eziqhelekileyo zesifo sikaCrohn kukudinwa, urhudo, kunye nokuhlanza.)
• Ukunciphisa imfuneko yamayeza.
• Ukwanda komnqweno wokutya.
• Ukomelela kwamandla omzimba.
• Ukukwazi ukuphuma uye kusebenza kwakhona.
• Ukuphucula umgangatho wobomi.

Kodwa into enye ekufuneka uyikhumbule: Utyando lwesifo sikaCrohn aluqinisekisi ukuba iimpawu aziyi kubuya. Malunga nama-20% abantu abenza utyando banokufuna olunye utyando kwiminyaka emihlanu emva kotyando lwabo lokuqala.

Ngaba kukho iingozi zotyando lukaCrohn?

Njengakwezinye iintlobo zotyando, utyando lwesifo sikaCrohn lunemingcipheko ethile. Iingxaki ezinokubakho ziquka:

• Ukuvuza kwe-anastomotic (Oku kunokwenzeka ukuba iinxalenye ezimbini zamathumbu akho azidibani kakuhle.)
• Usulelo lweentsholongwane.
• Ukuvaleka kwamathumbu.
• Ukopha kakhulu.
• Iingxaki ngestoma yakho (umzekelo, ibhegi yakho ye-ostomy ayilingani kakuhle).
• Amanxeba. Oku kunokubangela ukuba udonga lwamathumbu akho lube ncinci.
• Ukunqongophala kweVithamin B12. (Oku kunokwenzeka ukuba ugqirha wakho kufuneka asuse inxalenye yamathumbu akho ukuze afunxe iVithamin B12.)

Ukuba uneengxaki emva kotyando lwesifo sikaCrohn, ugqirha wakho uya kukunceda uphuhlise isicwangciso sonyango. Oku kungabandakanya amayeza, unyango olungelulo utyando, okanye nolunye utyando.

Kuthatha ixesha elingakanani ukuchacha emva kotyando lwesifo sikaCrohn?

Kungathatha malunga neeveki ezine ukuya kwezilishumi elinesibini (4-12) ukuze umntu aphile ngokupheleleyo. Uninzi lwabantu luyakwazi ukubuyela emsebenzini malunga neeveki ezintandathu.

Ixesha elithathayo ukuze uphile lixhomekeke kwezinye izinto ezininzi. Nazi:

• Uhlobo lotyando olwenzileyo.
• Zingaphi utyando olwenzileyo ngaphambili?
• Inani lamathumbu akho ekwakufuneka asuswe.
• Amandla omzimba wakho okuphilisa amanxeba.
• iminyaka yakho.
• Ezinye iimeko zempilo sele unazo.

Ugqirha wakho uhlala ekulungele ukukunceda. Ukuba unemibuzo ethile malunga nonyango lwakho okanye ixesha lokuchacha, thetha naye.

Ndiza kuhlala ixesha elingakanani esibhedlele?

Uninzi lwabantu abatyandwayo ngenxa yesifo sikaCrohn bahlala esibhedlele kangangeveki. (Abanye bahamba kwangethuba, abanye bahlala ixesha elide.)

Emva kotyando lwakho, iqela lakho lezonyango liza kwenza oku kulandelayo:

• Jonga indlela amanxeba akho aphilisa ngayo.
• Ukuba ngequbuliso awukwazi ukutya okanye ukusela, uza kunikwa i-saline (IV fluids) ngomthambo osengalweni yakho.
• Ngexesha elifanelekileyo, uza kuqaliswa ukutya ukutya okucocekileyo.
• Xa ulungile, uza kutshintshelwa ekutyeni ukutya okuthambileyo.

Ukuba ukhe wahlinzwa i-ostomy, ugqirha okanye umongikazi uza kukubonisa indlela yokusebenzisa nokucoca ibhegi yakho entsha ye-ostomy. Baza kuqinisekisa ukuba ukhululekile ngayo ngaphambi kokuba uphume esibhedlele.

Ngaba isifo sikaCrohn sinokunyangwa ngotyando?

Hayi, utyando alunakunyanga ngokupheleleyo isifo sikaCrohn. Kwanasemva kotyando, iimpawu zakho zinokubuya.

Nangona kunjalo, unyango lunokulawula okanye lunciphise iimpawu zakho. Kwiimeko ezininzi, lunokuphucula kakhulu umgangatho wobomi bakho.

Ugqirha wakho uza kusebenza nawe inyathelo ngalinye. Nanini na xa iimpawu zakho zisiba mandundu, uza kuxoxa nawe ngeendlela zonyango aze enze isicwangciso esilungele wena.

Ukuba utyando alunakunyanga isifo sikaCrohn, kutheni ndifanele ndityandwe?

Ukuba unesifo sikaCrohn, usenokuba uzibuza ngale mibuzo. Iingozi zokungatyandwa ziyahluka ngokuxhomekeke kwimeko yakho. Nangona kunjalo, ukuba isifo sikaCrohn asinyangwa, sinokukhokelela koku:

• Intlungu zesisu.
• Ukulahlekelwa ngumdla wokutya kunye nokuncipha komzimba ngendlela engachazekiyo.
• I-anemia.
• Ubomi obuphantsi.
• Iimpawu eziya zisiba mandundu.
• Utshintsho olungaphambi komhlaza okanye umhlaza emathunjini akho.
• Umngcipheko okhulayo weziphumo ebezingalindelekanga zamayeza.
• Ukufuneka ndenze utyando olungxamisekileyo.

Abanye abantu abadingi kutyando kwaphela ngenxa yesifo sikaCrohn. Enyanisweni, bambalwa abantu abafuna utyando ngoku kunakwiminyaka engamashumi amabini eyadlulayo. Oku kusenokuba kungenxa yamayeza amatsha naphucukileyo kunye novavanyo olunceda ekufumaneni isifo kwangethuba.

Okwangoku, malunga nomntu omnye kwabahlanu kuya kufuneka atyandwe kwiminyaka emihlanu yokuqala emva kokuba exilongiwe. Ngugqirha wakho kuphela onokukuxelela into efanelekileyo kuwe.

Kufuneka ndidibane nogqirha nini emva kotyando?

Emva kotyando lwesifo sikaCrohn, kufuneka uthethe nogqirha wakho ukuba kukho nanye kwezi zilandelayo ezenzekileyo:

• Ukuba awufumani sisu kangangeentsuku ezimbalwa emva kokuba uphumile esibhedlele.
• Ukuba ufumana isicaphucaphu nokuhlanza.
• Ukuba intlungu iya isiba mandundu.
• Ukuba ubona igazi kwi-tummy yakho okanye kwi-tarry stool yakho, yibeke ecaleni.
• Ukuba ubonakalisa iimpawu zokuqhekeka kwegazi (umzekelo, iintlungu okanye ukudumba emilenzeni).

Ukuba ukhe wahlinzwa i-ostomy, xelela ugqirha wakho ukuba awuzange uphume isisu kwi-stoma yakho kangangeeyure ezingaphezu kwama-24. Oku kunokuthetha ukuba uvalekile.

Usenokuba usandula ukufunyanwa unesifo sikaCrohn. Okanye usenokuba ubujongene naso iminyaka emininzi. Nangona kunjalo, ingcinga yotyando inokuba yinto enzima - ingakumbi ukuba ubukhe wehlelwa yile ndlela ngaphambili. Ukuthetha nabanye abanesi sifo esifana nesakho kunokunceda. Cinga ngokufumana iqela lenkxaso, nokuba lelasekuhlaleni okanye kwi-intanethi, kwaye wabelane ngamava akho nezigidi zabantu abaphila nesifo sikaCrohn yonke imihla.

Ngoko ke, zeziphi izinto esifanele sizikhumbule kweli bali?

Utyando lwesifo sikaCrohn alunakunyanga ngokupheleleyo imeko yakho. Nangona kunjalo, lunokunciphisa iimpawu ezifana neentlungu, isicaphucaphu, nokudinwa, kwaye luphucule umgangatho wobomi bakho. Ugqirha wakho uya kukunceda ukhethe ukuba yeyiphi na into efanelekileyo kwimeko yakho. Ungoyiki ukuthetha nogqirha wakho ngayo nayiphi na imibuzo onayo.

Isifo sikaCrohn , utyando lwesisu, utyando lwamathumbu, Isifo sikaCrohn, inkqubo yokugaya ukutya, utyando, iimpawu zikaCrohn